chapter 16 - Chapter16 Professional,Ethical,Legal,and...

Chapter 16 Professional, Ethical, Legal, and Social Issues Mental health professions – dramatic change in next few yrs Due 2 : • social forces (have caused some changes in field) • changes in health care systems • shifts in economy Professional Issues Present/future of professional psychology -reflects past efforts to define self as independent profession There has been opposition/competition in defining self as independent profession from medical/ Current controversies – Often conflicts posed as efforts 2 “protect clients” i.e., can’t prescribe medicine b/c not MD – but others besides MDs prescribe from # of sources Threat is coming from psychiatrists because they don’t want psychologists to prescribe medicine… the reason is because a hospital can hire a psychologist for 150,000 a year rather than a psychiatrist for 200,000 a year- it just makes more sense for the hospital to go with the cheaper professional Competition with Medicine Psychologists given more privileges over years -right to do psychotherapy- (in past only psychiatrists did it) now psychiatrists don’t do psychotherapy they just do med checks- make sure patient is taking medicine prescribed to them -hospital privileges-prescription privileges Recent years - more competition 4 mental health business

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Thus, attempts to constrain practice of clinical psychology/other mental health professions Defining and “Diagnosing” Mental Disorders If psychological problems viewed as biological illnesses, then should B treated by MDs in clinics/hospitals w/medications – by this definition, psychologists would be unqualified to treat them, PROBLEM is that mental disorders Psychologists have good evidence to back up their arguments- research tells us that medicine has not been demonstrated to be more effective than psychotherapy… in fact psychotherapy has been more effective. ON TEST Biological Model Reps challenge to professional psychology b/c professional psychology has long emphasized Psychology , familial causes of disorders

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